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When Latching                                                                                                      p. 1 of 2


                                          Push baby’s bottom into your body with the side of your forearm
                                          (the same side as where your baby finger is).
                                          •    This will bring him towards your breast with the
                                               nipple pointing to the roof of his mouth
                                          •    Mother’s hand under the baby’s face, palm up.
                                          •    Head supported but NOT pushed in against breast.
                                          •    Head tilted back slightly.
                                          •    Baby’s body and legs wrapped in around mother.
                                          •    Use your whole arm to bring the baby onto the breast,
                                               when mouth wide.
                                          Chin and lower jaw touch breast first.
                                          WATCH LOWER LIP, aim it as far from base of nipple as possible,
                                          so tongue draws lots of breast into mouth.
                                          Move baby’s body and head together – keep baby uncurled.
                                          Once latched, top lip will be close to nipple, areola shows above lip.
                                          Keep chin close against breast.


                                                         WIDE MOUTH / GAPE
    Area
  drawn
    into                                                 Need mouth wide before baby moved onto breast. Teach
  Baby’s                                                 baby to open wide/gape:
  mouth
                                                         •   Move baby toward breast, touch top lip against nipple
                                                         •   Move mouth away SLIGHTLY
                                                         •   Touch top lip against nipple again, move away again
                                                         •   Repeat until baby opens wide and has tongue forward
                                                         •   Or, better yet, run nipple along the baby's upper lip,
                                                             from one corner to the other, lightly, until baby opens
                                                             wide

                             Push base of hand firmly
                            against baby’s shoulders,
                            keeping baby “uncurled,”
                                  chin coming in first


                                                                                                   baby’s head tilted
MOTHER’S VIEW WHILE LATCHING BABY                                                                  slightly back

                                                                                                   bring baby in
                                                                                                   quickly

                                      Area baby                                                    push with base of
                                       draws in                                                    hand on shoulders
                                         mouth
                                                                                                   chin touches first

                                                                                                   baby’s body close
                       Move baby, not breast!                                                      against mother



Handout A. When Latching.                                                  Original written and designed by Anne J. Barnes
Revised January 2005                                     From Dr. Jack Newman’s Handout Collection @ www.kellymom.com
When Latching                                                                                                               p. 2 of 2

                                                                                     MOTHER’S VIEW OF
                                                                                        NURSING BABY




                                                                                       Head tilted slightly
                                                                                                      back

                                                                                      Chin well in against
                                                                                                    breast

                                                                                            Hold in firmly
                                                                                       against shoulders,
                                                                                            keeping baby
                                                                                                uncurled




RECOMMENDATIONS FOR THE MOTHER                                       CAUTIONS

Mother’s posture                                                     Mother needs to AVOID
• sit with straight, well-supported back
                                                                     •   pushing her breast across her body
• trunk facing forwards, lap flat
                                                                     •   chasing the baby with her breast
Baby’s position before feed begins
                                                                     •   flapping the breast up and down
• on pillow can be helpful,
• nipple points to the baby’s upper lip or nostril                   •   holding breast with scissor grip
                                                                     •   not supporting breast
Baby’s body
• placed not quite tummy to tummy, but so that baby                  •   twisting her body towards the baby instead of
   comes up to breast from below and baby’s eyes make                    slightly away
   contact with mother’s                                             •   aiming nipple to centre of baby’s mouth
Support breast                                                       •   pulling baby’s chin down to open mouth
• firm inner breast tissue by raising breast slightly with           •   flexing baby’s head when bringing to breast
   fingers placed flat on chest wall and thumb pointing up
   (if helpful, also use sling or tensor bandage around              •   moving breast into baby’s mouth instead of
   breast)                                                               bringing baby to breast
                                                                     •   moving baby onto breast without a proper gape
Move baby quickly on to breast
• head tilted back slightly, pushing in across shoulders             •   not moving baby onto breast quickly enough at
   so chin and lower jaw make first contact (not nose)                   height of gape
   while mouth still wide open, keep baby uncurled                   •   having baby’s nose touch breast first and not the
   (means tongue nearer breast) lower lip is aimed as far                chin
   from nipple as possible so baby’s tongue draws in
   maximum amount of breast tissue                                   •   holding breast away from baby’s nose (not
                                                                         necessary if the baby is well latched on, as the
                                                                         nose will be away from the breast anyway)

See videos at www.thebirthden.com/Newman.html               This handout may be copied and distributed without further permission,
                                                                     on the condition that it is not used in any context in which the
                                                                  WHO code on the marketing of breastmilk substitutes is violated.




Handout A. When Latching.                                                          Original written and designed by Anne J. Barnes
Revised January 2005                                         From Dr. Jack Newman’s Handout Collection @ www.kellymom.com

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When Latching

  • 1. When Latching p. 1 of 2 Push baby’s bottom into your body with the side of your forearm (the same side as where your baby finger is). • This will bring him towards your breast with the nipple pointing to the roof of his mouth • Mother’s hand under the baby’s face, palm up. • Head supported but NOT pushed in against breast. • Head tilted back slightly. • Baby’s body and legs wrapped in around mother. • Use your whole arm to bring the baby onto the breast, when mouth wide. Chin and lower jaw touch breast first. WATCH LOWER LIP, aim it as far from base of nipple as possible, so tongue draws lots of breast into mouth. Move baby’s body and head together – keep baby uncurled. Once latched, top lip will be close to nipple, areola shows above lip. Keep chin close against breast. WIDE MOUTH / GAPE Area drawn into Need mouth wide before baby moved onto breast. Teach Baby’s baby to open wide/gape: mouth • Move baby toward breast, touch top lip against nipple • Move mouth away SLIGHTLY • Touch top lip against nipple again, move away again • Repeat until baby opens wide and has tongue forward • Or, better yet, run nipple along the baby's upper lip, from one corner to the other, lightly, until baby opens wide Push base of hand firmly against baby’s shoulders, keeping baby “uncurled,” chin coming in first baby’s head tilted MOTHER’S VIEW WHILE LATCHING BABY slightly back bring baby in quickly Area baby push with base of draws in hand on shoulders mouth chin touches first baby’s body close Move baby, not breast! against mother Handout A. When Latching. Original written and designed by Anne J. Barnes Revised January 2005 From Dr. Jack Newman’s Handout Collection @ www.kellymom.com
  • 2. When Latching p. 2 of 2 MOTHER’S VIEW OF NURSING BABY Head tilted slightly back Chin well in against breast Hold in firmly against shoulders, keeping baby uncurled RECOMMENDATIONS FOR THE MOTHER CAUTIONS Mother’s posture Mother needs to AVOID • sit with straight, well-supported back • pushing her breast across her body • trunk facing forwards, lap flat • chasing the baby with her breast Baby’s position before feed begins • flapping the breast up and down • on pillow can be helpful, • nipple points to the baby’s upper lip or nostril • holding breast with scissor grip • not supporting breast Baby’s body • placed not quite tummy to tummy, but so that baby • twisting her body towards the baby instead of comes up to breast from below and baby’s eyes make slightly away contact with mother’s • aiming nipple to centre of baby’s mouth Support breast • pulling baby’s chin down to open mouth • firm inner breast tissue by raising breast slightly with • flexing baby’s head when bringing to breast fingers placed flat on chest wall and thumb pointing up (if helpful, also use sling or tensor bandage around • moving breast into baby’s mouth instead of breast) bringing baby to breast • moving baby onto breast without a proper gape Move baby quickly on to breast • head tilted back slightly, pushing in across shoulders • not moving baby onto breast quickly enough at so chin and lower jaw make first contact (not nose) height of gape while mouth still wide open, keep baby uncurled • having baby’s nose touch breast first and not the (means tongue nearer breast) lower lip is aimed as far chin from nipple as possible so baby’s tongue draws in maximum amount of breast tissue • holding breast away from baby’s nose (not necessary if the baby is well latched on, as the nose will be away from the breast anyway) See videos at www.thebirthden.com/Newman.html This handout may be copied and distributed without further permission, on the condition that it is not used in any context in which the WHO code on the marketing of breastmilk substitutes is violated. Handout A. When Latching. Original written and designed by Anne J. Barnes Revised January 2005 From Dr. Jack Newman’s Handout Collection @ www.kellymom.com